Accident Notification Form

Form should reach OHSA (email: ohsa@ohsa.mt) within seven (7) days after the accident in terms of LN 52/1986 Article 22.2(b)

Employer's Name

ID Card No.

Company Name

Company Registration No.
(MFSA Reg. No.)

Postal Address

Type of Industry



Date of Accident

No. of Persons involved

Place /
Address of Accident

Days out of Work (working days)

Person filing the Accident Notification

Name and Surname

Position within the Company


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